Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Joanna Theresa Wallace, PHARMD

Individual provider Pharmacist · NPI 1093117988

Dr. Joanna Theresa Wallace, PHARMD is a Pharmacist in Middletown, New York. Licensed in Massachusetts and New York. Registered with an NPI since 2014.

Licensed in
MA, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

280 Route 211 E Ste 112
Middletown, NY 10940-3109
Phone: (845) 341-2700
Fax: (845) 402-7039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 059150 (NY)
Pharmacist Taxonomy 183500000X · Licence PH234197 (MA)

Record details

NPI number1093117988
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedSeptember 23, 2014
Last updated in NPPESSeptember 23, 2014

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